1.  Dennis Bacon Chair Norfolk Independent Care

2.   600 + providers across Norfolk  Members employ 11,000 staff  Key contributor to system leadership work  Recognition as a National Exemplar

3.  Norfolk Care Link  4 part-time business support officers  2014/15 – 280 provider visits  2015/16 – 300+ provider visits  Masterclasses/Workshops/Welcome to the Week  Key Focus for 2016/17

4.  Culture “The key issues are cultural, not regulatory” Sir Robert Francis, Mid-Staffs NHS Trust Public Inquiry “It is about promoting a culture that challenges poor practice and promotes compassionate care” Winterbourne View “Culture isn’t just one aspect of the game, it is the game. In the end an organisation is nothing more than the collective value of its people….” Louis Gertsner

6.  Care in Crisis!?  Social care budgets cut  Demand increasing  Primary Care pressures  Workforce deficiencies & deficits

7.  The Consequences  Cheapest past the post  Quality  Hospital Admissions & Delayed Discharge  Increased costs

9.  The Government’s Solution  Comprehensive Spending Review  BCF – Better Care Fund  Council Tax Precept of 2%  More ring-fenced money for Health

10.  The Solution  Pooled, devolved budgets  Market shaping / redesign (provider and service user participation)  Move focus to social care, value social care, understand social care  Increase social care funding and ring-fence it  Streamline Bureaucracy and cut unnecessary regulation

11.  The Care Act – Market Shaping (The Disconnect)  Ensure sustainability  Foster continuous improvement in quality and efficiency/effectiveness of services and encouraging innovation  Fostering the workforce, able to deliver high quality services

12. Living the lie……

13.  Key Challenges  Workforce  Funding  Culture